Queens Modern Dental
NPI #1083991822 in Queens Village, New York
Provider Information
- NPI Number
- 1083991822
- Entity Type
- Organization
- Organization Name
- Queens Modern Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 8, 2011
- Last Updated
- Nov 8, 2011
Practice Location
- Address
- 21820 HEMPSTEAD AVE
- Address 2
- SUITE 2
- City
- Queens Village
- State
- New York
- ZIP Code
- 11429-1235
- Phone
- (718) 217-8700
Authorized Official
- Name
- DR. LOURDES JOANNE SAINT PAUL, DDS
- Title
- GENERAL DENTIST
- Phone
- (718) 217-8700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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